Complaint Investigation Report

The investigation revealed the following:

Regarding: Facility does not have planned activities.

It is alleged that staff are not planning community and leisure activities for clients in care.

Staff deny the allegation. Interviews with (5) out of (5) staff indicated that the facility plans their activities according to clients’ interests. Staff indicated that clients are taken on outings they choose throughout the week. Staff indicated that clients are taken on shopping trips, restaurants, parks, museums and strolls around the neighborhood to keep physical activity going. Staff also indicated that activities are planned monthly and are documented on the activities calendar which they post in the kitchen. Furthermore, staff stated that they will make changes to the calendar depending on client feedback, weather conditions or by prioritizing doctor or dental appointments for clients. Any missed activities are postponed and rescheduled accordingly. During visit, LPA reviewed Activity Calendar for March and April 2026. LPA observed the April 2026 calendar posted in the kitchen. Review of the calendar indicated that the facility plans for church services, shopping trips, leisurely entertainment, fitness routines, arts and crafts, board and tabletop games and “choice of activity”. Interviews with (2) out of (5) clients indicated that the facility provides outings and activities and they like what they do at the facility. Three (3) clients were not responsive to LPA’s questions during interview attempt.

Based on interviews, observations and record review, the allegation staff are not planning community and leisure activities for clients could not be corroborated.

Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated . An exit interview was conducted, Marilyn Acabal, Administrator, and a copy of this report was provided.